ARTHROSCOPIC SUBACROMIAL DECOMPRESSION
(NEER ACROMIOPLASTY) AND
DISTAL CLAVICLE RESECTION (MUMFORD)
Revised August 2008
Post-op Days 1 – 7
Sling for comfort – D/C within a few days
Hand squeezing exercises
Elbow and wrist active motion (AROM)
Pendulum exercises
Active assist motion (AAROM) in pain-free range (supine wand, wall climbs,
pulleys)
AROM in pain-free range as tolerated
Shoulder shrugs / scapular retraction ex without resistance
Stationary bike
Ice pack PRN
Goals
Pain control
AAROM Flexion and Abduction to 120 degrees
Days 7 – 14
Continue appropriate previous exercises
AAROM, AROM in pain-free range
Isometrics x 6 (box) – pain-free
Light Theraband for ER and IR arm at side with pillow or towel roll under arm
Standing rows with light Theraband
Goal – AROM Flexion and Abduction to 150 degrees
Weeks 2 – 4
Continue appropriate previous exercises
PROM / Mobilization as needed to regain full motion
Theraband ex x 6, pain-free
Biceps and Triceps PREs with light weight
Prone scapular retraction exercises
Body Blade
UBE forwards and backwards
Elliptical trainer
Treadmill – Walking progression program
Goal – Full AROM
Weeks 4 – 6
Continue appropriate previous exercises
Theraband ex x 6 with increasing resistance
Seated row weight machine with light weight
Ball on wall (arcs, alphabet)
BAPS on hands
Ball toss with arm at side
Push-up progression against wall
Treadmill – Running progression program
Goal – 30 wall push-ups
Weeks 6 – 8
Continue appropriate previous exercises
Bench press with light weight
Ball toss overhead
Fitter on hands
Push-up progression – Table to chair
Pool therapy
Running progression to track
Goal – Normal rotator cuff strength
Months 2 – 4
Continue appropriate previous exercises with increasing resistance
Push-ups, regular
Sit-ups
Gravitron – Pull-ups, dips
Swimming
Transition to home / gym program
Goals
Return to all activities
Pass APFT at 4